Average Medicaid Nursing Facility Care Payments
Typical Medicaid Nursing Facility Care reimbursement across 7,188 cities
Avg. Medicaid Paid
$16.08
Price Range
$0.00 – $380.00
Total Claims
97.6M
Cities
7188
Typical Payment Range
Typical Medicaid Nursing Facility Care payments fall between $5.92 and $20.86 per claim (median: $11.60). The top 10% of payments exceed $35.86.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Skilled nursing facility services for patients who need 24-hour nursing care and rehabilitation services.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Utica, OH | $11.74 | $11.74 – $11.74 | 331 | 1 |
| Conway, NH | $7.08 | $7.08 – $7.08 | 330 | 1 |
| Adair, IA | $23.68 | $23.68 – $23.68 | 330 | 1 |
| Salem, NJ | $0.04 | $0.04 – $0.04 | 329 | 1 |
| Covington, TN | $10.95 | $2.09 – $17.54 | 329 | 3 |
| Tuscon, AZ | $27.60 | $27.60 – $27.60 | 329 | 1 |
| Sarver, PA | $7.08 | $7.08 – $7.08 | 328 | 1 |
| Stoughton, WI | $13.59 | $13.59 – $13.59 | 328 | 1 |
| Hawkinsville, GA | $14.43 | $14.43 – $14.43 | 327 | 1 |
| Mahanoy City, PA | $8.24 | $8.24 – $8.24 | 327 | 1 |
| Wyalusing, PA | $7.09 | $7.09 – $7.09 | 327 | 1 |
| Fort Novosel, AL | $9.59 | $9.59 – $9.59 | 327 | 1 |
| Mayville, NY | $12.72 | $12.72 – $12.72 | 326 | 1 |
| Hamilton, MS | $29.02 | $15.35 – $30.93 | 326 | 2 |
| Farmersville, IL | $6.09 | $6.09 – $6.09 | 326 | 1 |
| Alva, OK | $0.09 | $0.09 – $0.09 | 325 | 1 |
| New Philadelphia, OH | $3.02 | $3.02 – $3.02 | 325 | 1 |
| Blairsville, GA | $11.53 | $11.53 – $11.53 | 324 | 1 |
| Oak Ridge, NJ | $11.06 | $11.06 – $11.06 | 324 | 1 |
| Gorham, ME | $21.37 | $21.37 – $21.37 | 324 | 1 |
| Blue Mountain, MS | $0.00 | $0.00 – $0.00 | 324 | 1 |
| Bernie, MO | $33.96 | $33.96 – $33.96 | 323 | 1 |
| Somerset, PA | $22.55 | $11.92 – $50.39 | 322 | 2 |
| North Syracuse, NY | $6.94 | $3.08 – $16.61 | 322 | 2 |
| Arkansas City, KS | $8.28 | $0.00 – $9.26 | 321 | 2 |
| Gate City, VA | $15.57 | $15.57 – $15.57 | 321 | 1 |
| St Simons Island, GA | $6.61 | $6.61 – $6.61 | 321 | 1 |
| Chehalis, WA | $2.38 | $2.38 – $2.38 | 320 | 1 |
| San Mateo, CA | $9.24 | $0.00 – $59.49 | 320 | 5 |
| Yukon, OK | $5.63 | $4.92 – $23.87 | 319 | 2 |
| Sedro Woolley, WA | $14.21 | $14.10 – $14.38 | 319 | 2 |
| South Salem, NY | $8.69 | $8.69 – $8.69 | 319 | 1 |
| Frisco, CO | $9.98 | $9.98 – $9.98 | 318 | 1 |
| Fairfield, VA | $4.36 | $4.36 – $4.36 | 318 | 1 |
| Neshannock, PA | $11.86 | $11.86 – $11.86 | 318 | 1 |
| Louisiana, MO | $30.73 | $30.58 – $31.74 | 316 | 2 |
| Wimauma, FL | $1.20 | $1.20 – $1.20 | 314 | 1 |
| Brandywine, MD | $38.39 | $38.39 – $38.39 | 313 | 1 |
| Chestertown, MD | $40.74 | $0.00 – $69.45 | 312 | 6 |
| Morrow, GA | $1.34 | $1.34 – $1.34 | 312 | 1 |
| Winchester, CA | $18.18 | $18.18 – $18.18 | 312 | 1 |
| Minersville, PA | $7.05 | $7.05 – $7.05 | 312 | 1 |
| Panhandle, TX | $3.43 | $3.43 – $3.43 | 312 | 1 |
| Georgetown, MA | $3.51 | $3.51 – $3.51 | 312 | 1 |
| Kellogg, ID | $21.39 | $21.39 – $21.39 | 311 | 1 |
| Sandusky, MI | $43.63 | $43.63 – $43.63 | 311 | 1 |
| Waunakee, WI | $12.54 | $4.25 – $13.27 | 311 | 2 |
| Dracut, MA | $14.74 | $0.00 – $16.23 | 310 | 3 |
| Parkersburg, IA | $3.90 | $3.90 – $3.90 | 310 | 1 |
| Worcestor, MA | $11.92 | $11.92 – $11.92 | 310 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99309 | Nursing facility subseq mod-hi | $17.88 | 43,693,341 | 34,328 |
| 99308 | Nursing facility subseq mod | $12.62 | 42,495,079 | 33,407 |
| 99307 | Nursing facility subsequent low | $8.86 | 6,770,015 | 11,425 |
| 99310 | Nursing facility subseq high | $31.06 | 4,780,807 | 10,125 |
| 99306 | Nursing facility initial high | $40.91 | 1,364,289 | 6,538 |
| 99305 | Nursing facility initial mod | $25.42 | 1,050,487 | 5,595 |
| 99304 | Nursing facility initial compl | $28.74 | 440,459 | 2,566 |
| 99318 | Nursing facility annual assess | $43.42 | 99,072 | 1,360 |
| 99316 | Nursing facility discharge >30 | $36.42 | 66,463 | 505 |
| 99315 | Nursing facility discharge 30m | $32.35 | 39,754 | 273 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.